# FREEDMAN MITCHELL WHITTAKER AND WU MDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447335435
- **Authorized official:** DR. MICHAEL D MITCHELL MD (PRESIDENT)
- **Authorized official phone:** (703) 461-0700

## Contact information

- **Practice address:** 4660 KENMORE AVE, SUITE 1210, ALEXANDRIA, VA 22304
- **Practice address phone:** (703) 461-0700
- **Practice address fax:** (703) 461-0803
- **Mailing address:** 4660 KENMORE AVE, SUITE 1210, ALEXANDRIA, VA 22304
- **Mailing address phone:** (703) 461-0700
- **Mailing address fax:** (703) 461-0803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101055657 | VA LICENSE | — |
| 01 | — | 09850001 | BCBS | — |
| 01 | — | 09850003 | BCBS | — |
| 01 | — | 220421 | ANTHEM | — |
| 01 | — | 286625 | ANTHEM | — |
| 01 | — | 289241 | MAMSI PCP | — |
| 01 | — | 289242 | MAMSI PCP | — |
| 01 | — | 435495 | ANTHEM | — |
| 01 | — | 889241 | MAMSI HMO | — |
| 01 | — | 889242 | MAMSI HMO | — |